<italic style="font-style: italic">CHEN Yinglong</italic>'s <italic style="font-style: italic">ziwu</italic> reinforcing and reducing acupuncture method for post-stroke swallowing dysfunction in the pharyngeal phase: a randomized controlled trial

ZHANG Yuhong; GAO Ling; JIN Haipeng; WANG Yong; SHI Zhenguo

doi:10.13703/j.0255-2930.20240125-k0001

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CHEN Yinglong's ziwu reinforcing and reducing acupuncture method for post-stroke swallowing dysfunction in the pharyngeal phase: a randomized controlled trial

Clinical Research | 更新时间：2024-11-14

- CHEN Yinglong's ziwu reinforcing and reducing acupuncture method for post-stroke swallowing dysfunction in the pharyngeal phase: a randomized controlled trial
- Chinese Acupuncture & Moxibustion Vol. 44, Issue 11, Pages: 1231-1238(2024)
- 作者机构：
  
  1.福建中医药大学针灸推拿学院，福州　350108
  2.福建中医药大学附属厦门市中医院康复科，厦门　361009
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20240125-k0001
  CLC：
- Received：25 January 2024，
  
  Online First：28 August 2024，
  
  Published：12 November 2024
- 稿件说明：
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ZHANG Yuhong, GAO Ling, JIN Haipeng, et al. CHEN Yinglong's ziwu reinforcing and reducing acupuncture method for post-stroke swallowing dysfunction in the pharyngeal phase: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2024, 44(11): 1231-1238. DOI: 10.13703/j.0255-2930.20240125-k0001.
DOI：

ZHANG Yuhong, GAO Ling, JIN Haipeng, et al. CHEN Yinglong's ziwu reinforcing and reducing acupuncture method for post-stroke swallowing dysfunction in the pharyngeal phase: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2024, 44(11): 1231-1238. DOI: 10.13703/j.0255-2930.20240125-k0001. DOI：

摘要

目的：

观察陈应龙子午补泻针法治疗脑卒中后咽期吞咽障碍的临床疗效，并初探其生物力学机制。

方法：

将72例脑卒中后咽期吞咽障碍患者随机分为子午补泻针法组（36例，脱落2例、剔除1例）和常规针刺组（36例，脱落1例、剔除1例）。其中常规针刺组选用廉泉及双侧风池、完骨、通里、照海、合谷、太冲进行常规针刺，子午补泻针法组在常规针刺组取穴基础上施加陈应龙子午补泻针法。两组均每次留针30 min，每日治疗1次，治疗6 d后休息1 d，共治疗4周。治疗前后分别评估两组患者标准吞咽功能评估量表（SSA）评分、Rosenbek渗漏/误吸量表（PAS）分级、下颌骨-舌骨距离缩短率、中文版吞咽生存质量量表（SWAL-QOL）评分，比较两组患者鼻饲管拔除率，并评定两组临床疗效和安全性。

结果：

治疗后，两组患者SSA评分、PAS分级均较治疗前降低（

0.001），且子午补泻针法组低于常规针刺组（

0.01，

0.05）。治疗后，两组患者下颌骨-舌骨距离缩短率、SWAL-QOL评分较治疗前升高（

0.001），且子午补泻针法组下颌骨-舌骨距离缩短率高于常规针刺组（

0.001）。子午补泻针法组鼻饲管拔除率为87.9%（29/33），高于常规针刺组的61.8%（21/34，

0.05）。子午补泻针法组总有效率为84.8%（28/33），高于常规针刺组的61.8%（21/34，

0.05）。两组均未发生严重不良反应。

结论：

陈应龙子午补泻针法能有效改善脑卒中后咽期吞咽障碍，降低误吸风险，提高生活质量，其疗效可能与增加舌骨位移幅度有关。

Abstract

Objective

To observe the clinical effect of

CHEN Yinglong

ziwu

reinforcing and reducing acupuncture method on post-stroke swallowing dysfunction (PSD) in the pharyngeal phase

and explore its biomechanical mechanism.

Methods

A total of 72 patients with PSD in the pharyngeal phase were randomly divided into a ziwureinforcing and reducing acupuncture group (36 cases

2 cases dropped out and 1 case was eliminated) and a conventional acupuncture group (36 cases

1 case dropped out and 1 case was eliminated). The patients in the conventional acupuncture group were treated with conventional acupuncture at Lianquan (CV 23) and bilateral Fengchi (GB 20)

Wangu (GB 12)

Tongli (HT 5)

Zhaohai (KI 6)

Hegu (LI 4)

Taichong (LR 3). The patients in the ziwu reinforcing and reducing acupuncture group were treated with

CHEN Yinglong

ziwu

reinforcing and reducing acupuncture method on the basis of the conventional acupuncture group's acupoints. Both groups were treated with acupuncture for 30 min each time

once a day

and rested for 1 day after 6 days of treatment

and the treatment lasted 4 weeks. Before and after treatment

the standardized swallowing assessment (SSA) score

Rosenbek penetration aspiration scale (PAS) grade

the shortening rate of mandibular-hyoid distance

swallowing quality of life (SWAL-QOL) score were evaluated in the two groups. The removal rate of nasogastric feeding tube was compared in the two groups

and the clinical efficacy and safety of the two groups were compared.

Results

After treatment

the SSA scores and PAS grade of the two groups were lower than those before treatment (

0.001)

and above indexes in the ziwureinforcing and reducing acupuncture group were lower than

those in the conventional acupuncture group (

0.01

0.05). After treatment

the shortening rates of mandibular-hyoid distance and SWAL-QOL scores in the two groups were higher than those before treatment (

0.001)

and the shortening rate of mandibular-hyoid distance in the ziwureinforcing and reducing acupuncture group was higher than that in the conventional acupuncture group (

0.001). The removal rate of nasogastric feeding tube in the ziwureinforcing and reducing acupuncture group was 87.9% (29/33)

which was higher than 61.8% (21/34) in the conventional acupuncture group (

0.05). The total effective rate of the ziwureinforcing and reducing acupuncture group was 84.8% (28/33)

which was higher than 61.8% (21/34) of the conventional acupuncture group (

0.05). Neither group experienced serious adverse reactions.

Conclusion

CHEN Yinglong

ziwu

reinforcing and reducing acupuncture method can effectively improve swallowing dysfunction in the pharyngeal phase after stroke

reduce the risk of aspiration

and improve quality of life. Its therapeutic effect may be related to increasing the displacement amplitude of the hyoid bone.

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⁰

CHEN Yinglong's ziwu reinforcing and reducing acupuncture method for post-stroke swallowing dysfunction in the pharyngeal phase: a randomized controlled trial

DOI：10.13703/j.0255-2930.20240125-k0001

摘要

Abstract

关键词

Keywords

references